Well, we are back home...Carson still has a trach.
I was reading my last post and had to kinda laugh...basically all of my prayers were answered (other than getting good (best case scenario) news). But then, why do I still feel so disappointed...
Carson did so well with the process of the sleep study...he seemed a little unsure with his trach out but he said he was okay and he was able to sleep enough that they got adequate data. They left the trach out the whole night.
The sleep center said they got good data. And Preston said Carson coughed some but not a whole lot. They did see some improvement. So....the only disappointment is that the improvement wasn't enough to say he can take his trach out and he doesn't need any additional support.
The improvements...he had less obstructive events (but still considered moderate sleep apnea) and he didn't desat with these events (his O2 levels did not drop much).
However, he still has moderate sleep apnea and that isn't good. The doctor gave us three options that he was okay with. 1. Go ahead and decannulate, knowing we'd need to get CPAP set up at a later date. 2. WAIT on decannulating and get CPAP set up at a later time but BEFORE going forward with taking his trach out. 3. Do nothing different...continue on with a trach. He said time or waiting could work in Carson's favor - that the area that is likely causing the obstruction MAY continue to open up as he grows but that you can't say that for sure either.
We decided to go with option 2...this was also the doctor's personal preference. We will attempt another sleep study with CPAP (at a later time) and see if that improves the results.
I guess alot of my disappointment comes from the point that I was hoping for big improvements on the sleep study because all surgical interventions have been done and we kept getting - what seemed to be - really good news from the most recent scopes. Because trading a trach for CPAP (something that he has to be hooked up to every night, that has to be taken with him anytime he'd go somewhere overnight, that is another machine that is giving him aid) just doesn't seem as big of a win. When we were in the NICU every time we got rid of a machine from the room (Nitrous, the ventilator, IV poles, etc) it was a little victory...so putting one back in his room just doesn't seem quite so happy. I'm not trying to sound like a Negative Nelly...its just not quite what I was hoping for. And on top of that, although I know many people use CPAP and that it is a GREAT thing...Carson hates having things on his face so I'm not sure how it will go, it may not be a good option for him....it's ANOTHER sleep study, another process. It's hard going on this emotional roller coaster.
With all that said..I'm thankful that there was some improvement...we know that he CAN sleep without his trach if something were to happen...thankful for doctors that are looking out for Carson...And thankful that Carson is able to roll with the punches. He seems totally fine coming home with a trach. He mentioned several times in his prayers that he was thankful that he did 'good on my sleep study.' <3 And he did...he slept without his trach and he did everything he was supposed to...sometimes it just isn't God's timing. And I need to accept that. I know God has big plans for Carson and they are good!
In other news...we had a great trip. Poppy got to come along for the first time and Carson and Kellen got to show him a lot of our favorite things!
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| Lunch in Paducah at the Skate park |
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| Dumping 80 lbs of soda tabs from school |
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| The wonderful craft room |
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| Sleep study champs |
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| The zoo |
I read this in a devotional on the way home today..
"It's okay to have things. Just know that the real life - deep joy and true meaning - is found elsewhere. People. Relationships. Compassion. Community. Food. Faith. Doubt. Love. Laughter. Sweat. Struggle. Tears. Triumph. This is what it means to be alive." ~Gideon Heugh
...it hit me...we were alive this trip...I think I experienced everyone one of these THIS trip from the fun we had, to the people that were with me, to so many texting/calling/checking in on us, the prayers that went with us and covered us, the upsets, tears, smiles, laughs, etc....deep joy - true meaning...real life is a great thing to experience.
Again...thankful for each one of you and every single thought and prayer sent our way!